Civic Intelligence

Promedica Monroe Physicians

EIN 46-1111822 • 501(c)3 • Toledo, OH

Profile

As an integral part of promedica health system, inc., we will be the premier community-based management services organization and provider of related healthcare services for northwest ohio/southeast michigan, offering quality, cost-effective, efficient, and value-added services to achieve superior patient satisfaction and a financially viable network of physicians supporting the medical needs of the community.

100 Madison Ave Attn Tax DepartmToledo, OH 43604

www.promedica.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

95th percentile

1.04x

Higher debt load relative to assets than 95% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

57th percentile

0.30x

Higher debt load relative to revenue than 57% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

5th percentile

-55%

Higher net margin than 5% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

99th percentile

$3,133,332

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 16.4% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

16th percentile

-6.0%

Faster asset growth than 16% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

11th percentile

-23%

Faster revenue growth than 11% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Down

$5,469,411

Down $351,597 (-6.0%) from 2023

Liabilities

Down

$5,674,437

Down $1,288,312 (-19%) from 2023

Net Assets

Up

-$205,026

Up $936,715 (+82%) from 2023

Revenue

Down

$19,103,083

Down $5,779,049 (-23%) from 2023

Expenses

Down

$29,580,207

Down $4,874,964 (-14%) from 2023

Net Income

Down

-$10,477,124

Down $904,085 (-9.4%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$100M$50M$0-$50M-$100MAssets 2020: $3,257,500Liabilities 2020: $42,592,915Net Assets 2020: -$39,335,4152020Assets 2021: $3,010,010Liabilities 2021: $54,192,430Net Assets 2021: -$51,182,4202021Assets 2022: $4,173,921Liabilities 2022: $6,268,467Net Assets 2022: -$2,094,5462022Assets 2023: $5,821,008Liabilities 2023: $6,962,749Net Assets 2023: -$1,141,7412023Assets 2024: $5,469,411Liabilities 2024: $5,674,437Net Assets 2024: -$205,0262024

Highlighted filing

2024

Assets$5,469,411
Liabilities$5,674,437
Net Assets-$205,026

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$20M$0-$20MRevenue 2020: $13,445,046Expenses 2020: $20,304,595Net Income 2020: -$6,859,5492020Revenue 2021: $17,299,164Expenses 2021: $24,190,167Net Income 2021: -$6,891,0032021Revenue 2022: $20,720,037Expenses 2022: $27,744,794Net Income 2022: -$7,024,7572022Revenue 2023: $24,882,132Expenses 2023: $34,455,171Net Income 2023: -$9,573,0392023Revenue 2024: $19,103,083Expenses 2024: $29,580,207Net Income 2024: -$10,477,1242024

Highlighted filing

2024

Revenue$19,103,083
Expenses$29,580,207
Net Income-$10,477,124

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 9, 2025
Return Version
2024v5.2
Gross Receipts
$19,103,083
Mission and Program Overview

Mission

As an integral part of promedica health system, inc., we will be the premier community-based management services organization and provider of related healthcare services for northwest ohio/sourtheast michigan, offering quality, cost-effective, efficient, and value-added services to achieve superior patient satisfaction and a financially viable network of physicians supporting the medical needs of the community.

Promedica monroe physicians is part of the physician services component of promedica health system, inc.'s integrated delivery system and provides services to improve the health care of the community in an efficient and cost-effective manner.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,570,089$1,401,080▼ $169,009
Accounts Receivable$804,561$1,094,576▲ $290,015
Prepaid Expenses and Deferred Charges$853,656$349,895▼ $503,761
Intangible Assets$24,663$42,050▲ $17,387
Cash and Non-Interest-Bearing Accounts$-450$0▲ $450
Total Assets$4,268,015$5,469,411▲ $1,201,396
Other Assets Total$1,015,496$2,581,810▲ $1,566,314
Liabilities
Other Liabilities$5,296,590$4,113,091▼ $1,183,499
Accounts Payable and Accrued Expenses$113,166$1,561,346▲ $1,448,180
Total Liabilities$5,409,756$5,674,437▲ $264,681
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-1,141,741$-205,026▲ $936,715
Total Net Assets Fund Balance$-1,141,741$-205,026▲ $936,715
Total Liabilities and Net Assets / Fund Balance$4,268,015$5,469,411▲ $1,201,396

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,004,774$91,343$1,096,117
Leasehold Improvements$243,952$187,359$431,311
Equipment$119,734$240,622$360,356
Other Land Buildings$32,620-$32,620
Other Assets Org$2,334,648--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Andrew AssenmacherPhysicianFT$916,346$575,370$1,491,716
Mark ZekajPhysicianFT$795,114$434,538$1,229,652
Douglas IddingsPhysicianFT$536,536$183,436$719,972
Murthy MadhiraPhysicianFT$627,462$43,440$670,902
Michael CharboneauPhysicianFT$626,545$32,965$659,510
Lisa HawkerChairperson--$65,000$65,000
Bob LaclairTrustee--$42,500$42,500

Board Members and Trustees

NameTitle
Kent BishopTrustee/ President - Ppg/CMO
Amanda KissnerTrustee
Barry LuseTrustee
Dave SnavelyTrustee
Donald CrescenzoTrustee
James BrennanTrustee
Kristine BrennerTrustee
Linda ThielTrustee
Marcy BrownTrustee
Mike AdamsTrustee
Nancy KabatTrustee
Arturo PolizziTrustee/CEO
Dawn BuskeyTrustee/chief Acute Care Officer
Kathleen MerrillTrustee/chief Marketing Officer
Victor CherfanTrustee/physician - Part Year
Stephen SadowskiSecretary/chief Legal Officer
Terrence MetzgerTreasurer/CFO
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$19,100,405
Investment Income
$0
Other Revenue
$2,678
Change in Net Assets
$-10,477,124
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$24,170,132
Other Expenses$5,410,075
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$21,421,103--$21,421,103
Other Employee Benefits$1,672,755--$1,672,755
Fees for Services Other$1,536,324--$1,536,324
Payroll Taxes$1,076,274--$1,076,274
Occupancy$635,631--$635,631
Insurance$570,251--$570,251
Depreciation Depletion$214,169--$214,169
Other Expenses$176,354--$176,354
All Other Expenses$106,349--$106,349
Office Expenses$43,148--$43,148
Travel$37,231--$37,231
Information Technology$3,119--$3,119
Advertising$759--$759
Interest$411--$411
Total Functional Expenses$29,580,207$0$0$29,580,207
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Maura CrescenzoFamily Member of Donald Crescenzo (board Member)EmploymentNo$48,275
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liabilities$2,355,808
Accrued Wages$1,757,283
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

As a michigan non-profit organization, this corporation has a corporate member.

Form 990, Part VI, Section A, Line 7A

Promedica health system, inc. (phs) is the sole member of promedica physician group, inc. Which is the sole member of promedica monroe physicians. Phs has the right to (a) elect and remove the members of the board of trustees of promedica monroe physicians, and (b) fill any vacancy.

Form 990, Part VI, Section A, Line 7B

While the board of trustees of each business unit is granted certain powers with respect to such business unit's operations, as the member, promedica health system, inc. Retains approval rights with respect to certain corporate actions such as (i) adoption of the business unit's strategic plans and financial plans, (ii) expenditures for non-budgeted items in excess of certain dollar limits set from time to time by the member, (iii) expenditures for items which are included in the business unit's annual budgets but which exceed the budgeted amount by an amount in excess of certain dollar limits set from time to time by the member, (iv) incurrence, assumption or guarantee of any indebtedness, (v) sale, lease or other disposition of real property or assets with a value in excess of certain dollar limits set from time to time by the member and (vi) any merger, consolidation, reorganization, dissolution or liquidation.

Form 990, Part VI, Section B, Line 11B

The return is reviewed by management before being provided to the board of trustees prior to filing. Any comments or questions from the board are reviewed and incorporated into the return if appropriate. Final returns are provided to a principal officer for signature prior to filing with the internal revenue service.

Form 990, Part VI, Section B, Line 12C

Promedica health system, inc. And affiliates (phs) have standards of conduct that apply to all phs board members and employees. Board members and employees are expected to certify their compliance with the applicable standards prior to election/appointment or prior to beginning employment. Board members annually (or immediately if new potential conflicts of interest arise), all board members are required to complete and return the board member soc survey within 30 days of dissemination. Board member soc surveys are reviewed by the v.p., audit & compliance/chief compliance officer (cco). Summarized information is forwarded for review to the chief financial officer, general counsel, business unit presidents and the president and chief executive officer (president/ceo), based upon their respective knowledge of the board members. The purpose of this review is to both inform management of the disclosed conflicts and to allow them to identify to the v.p., audit & compliance, any potential undisclosed conflicts. The audit & compliance department then conducts an audit of all board member soc surveys (along with any relationships noted through the above review) to identify any positional conflicts of interest and to test material transactions with board members/their affiliates for fair market value. The results of the audit are reported directly to the chair of the audit & compliance committee with a copy to the president/ceo. The report includes a summary of the audit procedures performed, any significant concerns identified, and their resolution. Any unresolved conflicts are addressed by the audit committee with recommendations to the full board as needed. Failure to complete the survey or the submission of a false or incomplete survey, or failure to disclose immediately any new conflicts of interest that may arise, or failure to cooperate without condition, honestly and completely with any investigation or review of the board member's survey results or his/her actions or circumstances shall be grounds for sanction by the board of trustees up to and including removal from the board/committee/council. Employees, excluding employed providers annually (or immediately if new conflicts of interest arise), all bonus-eligible senior leadership and specifically identified additional employees, are required to complete and submit an electronic employee certification questionnaire by an established deadline that is communicated to the employee. The human resources department ensures that all questionnaires, which are stored electronically, are completed and provides notification to the v.p., audit & compliance of the number of annual employee certification questionnaires sent and received and copies of any questionnaires containing disclosures that warrant further review by the audit & compliance department. All new employees, excluding employed providers, are provided either an electronic or paper copy of the employee standard of conduct and the employee certification statement which the new employee is required to complete prior to beginning employment. The audit & compliance department has access to a report that identifies all new hires. A sample of employees is identified and an audit is conducted to ensure that required documentation is on file. Identified conflicts are initially reviewed by the v.p., audit & compliance and if necessary discussed with the business unit president in which the employee works, the chief human resource officer, and general counsel. If the conflict is considered a significant exposure risk for phs, a recommendation will be prepared for final approval of the phs president/ceo. Results of the employee process audit are included in the above report to the chair of the audit & compliance committee. Failure to complete the certification questionnaire, or the completion of a false or incomplete certification questionnaire, or failure to disclose immediately any new conflicts of interest that may arise, or failure

Form 990, Part VI, Section B, Line 15

Promedica monroe physicians' top management official and other officers are compensated by promedica health system, inc. (phs), a related tax-exempt organization. Compensation determinations of promedica monroe physicians' top management official and other officers are made by a compensation committee of phs. Each year independent consultants conduct an annual survey and recommend executive payroll base salary ranges based upon the market. The data is reviewed and approved by the promedica health system compensation committee every october. Salary adjustments are determined at the december meeting of the compensation committee. The compensation committee approves other forms of compensation based upon the prior year performance at the january meeting each year.

Form 990, Part VI, Section C, Line 19

Promedica health system, inc. And subsidiaries provide any document open to public inspection upon request.

Part VII, Section B

Promedica health system processes all accounts payable through one pay company, promedica health system, inc. The independent contractors over $100,000 will be listed on the 990 filed for promedica health system, inc. Fein 34-1517671.

Filing and Contact Details

Filer

Filer Name
Promedica Monroe Physicians
EIN
46-1111822
Phone
4192525772
Address
100 MADISON AVE ATTN TAX DEPARTM, TOLEDO, OH 43604

Signing Officer

Name
Terrence Metzger
Title
CFO
Phone
4192525772
Signed
2025-10-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Terrence Metzger
Formed
2012
Legal Domicile
Mi
Voting Board Members
16
Independent Board Members
10
Employees
184
Volunteers
10

Preparer

Firm
Plante & Moran Pllc
Address
250 S HIGH ST SUITE 100, COLUMBUS, OH 43215
Preparer
Amy Ciminello
Phone
6148493000
Supplemental Narrative

Additional Explanations

Part V, Line 1A

The promedica health system processes all accounts payable through one pay company. All 1099 forms for promedica health system, inc. And subsidiaries are filed under promedica health system, inc. Fein 34-1517671.

FORM 990, PART XI, LINE 9:

Transfer between related entities 11,413,839.

Form 990, Part XII, Line 2C

The process has not changed from the prior year.

Raw XML AppendixShowing 400 of 1,617 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0PROMEDICA MONROE PHYSICIANS IS PART OF THE PHYSICIAN SERVICES COMPONENT OF PROMEDICA HEALTH SYSTEM, INC.'S INTEGRATED DELIVERY SYSTEM AND PROVIDES SERVICES TO IMPROVE THE HEALTH CARE OF THE COMMUNITY IN AN EFFICIENT AND COST-EFFECTIVE MANNER.
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IRS990/Desc0SERVING INDIVIDUALS AND FAMILIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN, PROMEDICA MULTI SPECIALTY PHYSICIANS, A SUBSIDIARY OF PROMEDICA PHYSICIAN GROUP (PPG), OFFERS A LARGE SELECTION OF PHYSICIANS AND ADVANCED PRACTICE PROVIDERS WHO PROVIDE MEDICAL CARE AND OTHER HEALTHCARE SERVICES VIA AN INTEGRATED APPROACH THROUGH WHICH THEY COLLABORATE WITH OTHER PROVIDERS. THIS INTEGRATED DELIVERY IS MORE COST-EFFECTIVE THAN TRADITIONAL DELIVERY SYSTEMS AND HELPS TO ENSURE PATIENTS HAVE BETTER ACCESS TO CARE IN THE MOST APPROPRIATE SETTING. PPG AND ITS SUBSIDIARIES ARE PART OF PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 17 STATES ACROSS THE COUNTRY AND IS ONE OF THE NATION'S LEADING HEALTH SYSTEMS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN PATIENT-CENTERED CARE, ADVANCED TECHNOLOGY, INNOVATIVE PROGRAMS, AND FAMILY-ORIENTED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF PATIENTS' ABILITY TO PAY. PPG'S WELL-EQUIPPED PROVIDER FACILITIES ARE LOCATED IN APPROXIMATELY 220 LOCATIONS, AND ITS NETWORK IS COMPRISED OF MORE THAN 1300 HEALTHCARE PROVIDERS CERTIFIED IN MORE THAN 50 SPECIALTIES, INCLUDING ANESTHESIOLOGY, BARIATRICS, CARDIOLOGY, CRITICAL CARE, ENT, FAMILY MEDICINE, GASTROENTEROLOGY, GENERAL SURGERY, HEMATOLOGY-ONCOLOGY, HOSPITALISTS, INTERNAL MEDICINE, NEUROLOGY AND NEUROSURGERY, OBSTETRICS/GYNECOLOGY, OCCUPATIONAL MEDICINE, OPHTHALMOLOGY, ORTHOPAEDIC SURGERY, PEDIATRIC CARDIOLOGY, PEDIATRIC CRITICAL CARE MEDICINE, PEDIATRICS, PSYCHIATRY, SPORTS CARE, SURGICAL ONCOLOGY, UROLOGY, AND VASCULAR MEDICINE. PPG CONDUCTED APPROXIMATELY 2.7 MILLION PATIENT ENCOUNTERS IN 2024. ADDITIONALLY, PPG PRIMARY CARE PRACTICES NOW SCREEN FOR 6 DIFFERENT SOCIAL DETERMINANTS SCREENS FOR AREAS SUCH AS FOOD INSECURITY, FINANCIAL STRAIN, HOUSING, TRANSPORTATION, INTERPERSONAL VIOLENCE, AND UTILITIES. PATIENTS SCREENING POSITIVE ARE CONNECTED TO COMMUNITY RESOURCES TO IMPROVE HEALTH AND WELL-BEING. PROMEDICA MULTI SPECIALTY PHYSICIANS PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2024, OF WHICH $401,000. REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT OF PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. ITS COST OF BAD DEBT FOR 2024 TOTALED $858,000. DURING 2024, PROMEDICA MULTI SPECIALTY PHYSICIANS EXPENDED $33,582,000 IN NET PAYROLL, PROVIDING 138 JOBS. A TOTAL OF $1,460,000 WAS WITHHELD FROM EMPLOYEES IN STATE AND LOCAL TAXES.IN SUMMARY, PPG AND ITS SUBSIDIARIES DEMONSTRATE THEIR MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, PROMEDICA PROVIDES THESE HEALTHCARE SERVICES; RECRUITS AND TRAINS HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDES APPROPRIATE FINANCIAL ASSISTANCE; OFFERS SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENTS FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.
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